Inversion of uterus during cesarean section

Banerjee, Niladri; Deka, Deepika; Roy, Kallol Kumar; Takkar, D.

doi:10.1016/s0301-2115(99)00225-0

Cited by 12 publications

(15 citation statements)

References 7 publications

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“…The causes of this complication remain unclear. Fundal insertion of the placenta [ 2 ], inherent weakness of the uterine musculature [ 2 , 3 ], the administration of oxytocin, in particular when given as a bolus [ 3 , 4 ] and traction of the cord with the placenta, either partially or completely attached to the uterus (adherent placenta) [ 4 - 6 ], could be probable contributing factors of this complication.…”

Section: Discussionmentioning

confidence: 99%

“…It has been supported that hypotension and shock may be neurogenic in origin, owing to the traction on the patient's infundibulopelvic ligaments or secondary to peritoneal or broad ligament stretching [ 4 ]. However, given that the patient is under anaesthesia, either general or regional, the neurogenic element of shock should be considered as eliminated [ 2 ], so the blood loss remains the main reason for the patients' instability. Management of uterine inversion during caesarean section is usually simple, if diagnosed promptly within a few minutes.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Complete uterine inversion during caesarean section: A case report

et al. 2008

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Inversion of the uterus through the uterine lower segment incision during a caesarean section is an extremely rare obstetric incident. It consists, though, an emergency complication that is potentially life-threatening, especially in cases of prolonged inversion, because haemodynamic instability and shock may occur. Prompt diagnosis and immediate uterine reversion are the key actions in the management of this serious complication.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Complete uterine inversion during caesarean section: A case report

et al. 2008

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“…(11) Afferent impulses are thought to cause a vasovagal reaction leading to cardiovascular depression. (8) However, given that the patient is under anaesthesia, either general or regional, the neurogenic element of shock should be considered as eliminated, (9) so the blood loss remains the main reason for the patient's haemodynamic instability in our case. Management of uterine inversion during caesarean section is usually simple, if diagnosed promptly within a few minutes.…”

Section: Discussion Of Managementmentioning

confidence: 90%

“…The causes of this complication remain unclear. Fundal insertion of the placenta, (9) inherent weakness of the uterine musculature, (2,3) the administration of oxytocin, in particular when given as a bolus (10,11) and traction of the cord with the placenta, either partially or completely attached to the uterus (adherent placenta) (11,12,5) could be probably contributing factors of this complication. The principal features of this complication are haemorrhage and shock which is often profound and out of proportion to the degree of blood loss.…”

Section: Discussion Of Managementmentioning

confidence: 99%

Complete Uterine Inversion During Lower Segment Caesarean Section

Bijapur¹,

Bhimeshankar²,

K³

et al. 2018

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We describe a case of acute uterine inversion that occurred during a lower uterine segment caesarean section in a 20year-old primigravida under subarachnoid block that was managed successfully. During the extraction of the placenta with controlled cord traction inversion of uterus was observed. After several unsuccessful attempts, the inversion was corrected by gradual reversion of the uterus done by rolling the lower edge over the uterine fundus (first part to invert, first reverted) followed by extraction of the placenta. A blood loss of about 1000 mL was estimated and corrected with two pints of compatible blood transfusion. The patient was shifted to the postoperative room in a stable condition. The postoperative period was uneventful. We concluded that uterine inversion is a serious complication, of which both the anaesthesiologist and the obstetrician should be aware of since its prompt diagnosis and early management are of utmost importance in preventing maternal morbidity and mortality.

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“…4 The incidence of acute uterine inversion has been stated to be between one in 2148 and one in 6407 vaginal births. [7][8][9][10][11][12][13][14] Of these case reports only one was complicated by cardiac arrest. Acute uterine inversion at caesarean section is extremely rare; fewer than 10 cases have been reported in the literature, although many may go unreported.…”

Section: Discussionmentioning

confidence: 99%